I 

115TH CONGRESS 

2D SESSION H. R. 6066 

To amend title 38, United States Code, to improve the productivity of the 

management of Department of Veterans Affairs health care, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 8, 2018 

Mr. WENSTRUP introduced the following bill; which was referred to the 

Committee on Veterans’ Affairs 

A BILL 

To amend title 38, United States Code, to improve the 

productivity of the management of Department of Veterans Affairs health care, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. DEPARTMENT OF VETERANS AFFAIRS HEALTH 

4 CARE PRODUCTIVITY IMPROVEMENT. 

5 (a) IN GENERAL.—Subchapter I of chapter 17 of title 

6 38, United States Code, is amended by inserting after sec7 tion 1705A the following new section: 


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1 ‘‘§ 1705B. Management of health care: productivity 

2 ‘‘(a) RELATIVE VALUE UNIT TRACKING.—The Sec3 retary shall track relative value units for all Department 

4 providers. 

5 ‘‘(b) CLINICAL PROCEDURE CODING TRAINING.— 

6 The Secretary shall require all Department providers to 

7 attend training on clinical procedure coding. 

8 ‘‘(c) PERFORMANCE STANDARDS.—(1) The Secretary 

9 shall establish for each Department facility— 

10 ‘‘(A) in accordance with paragraph (2), stand11 ardized performance standards based on nationally 

12 recognized relative value unit production standards 

13 applicable to each specific profession in order to 

14 evaluate clinical productivity at the provider and fa15 cility level; 

16 ‘‘(B) remediation plans to address low clinical 

17 productivity and clinical inefficiency; and 

18 ‘‘(C) an ongoing process to systematically re19 view the content, implementation, and outcome of 

20 the plans developed under subparagraph (B). 

21 ‘‘(2) In establishing the performance standards under 

22 paragraph (1)(A), the Secretary may— 

23 ‘‘(A) incorporate values-based productivity mod24 els; and 

25 ‘‘(B) take into account non-clinical duties, in26 cluding with respect to training and research. 


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1 ‘‘(d) DEFINITIONS.—In this section: 

2 ‘‘(1) The term ‘Department provider’ means an 

3 employee of the Department whose primary respon4 sibilities include furnishing hospital care or medical 

5 services, including a physician, a dentist, an optom6 etrist, a podiatrist, a chiropractor, an advanced 

7 practice registered nurse, and a physician’s assistant 

8 acting as an independent provider. 

9 ‘‘(2) The term ‘relative value unit’ means a unit 

10 for measuring workload by determining the time, 

11 mental effort and judgment, technical skill, physical 

12 effort, and stress involved in delivering a proce13 dure.’’. 

14 (b) CLERICAL AMENDMENT.—The table of sections 

15 at the beginning of such chapter is amended by inserting 

16 after the item relating to section 1705A the following new 

17 item: 

‘‘1705B. Management of health care: productivity.’’. 

18 (c) REPORT.—Not later than one year after the date 

19 of the enactment of this Act, the Secretary of Veterans 

20 Affairs shall submit to Congress a report on the implemen21 tation of section 1705B of title 38, United States Code, 

22 as added by subsection (a). Such report shall include, for 

23 each professional category of Department of Veterans Af24 fairs providers, the relative value unit of such category of 


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1 providers at the national, Veterans Integrated Service 

2 Network, and facility levels. 

Æ 


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